Dr Bentley Cole Tate, MD | |
1100 Carson Ave, La Junta, CO 81050-2751 | |
(303) 770-4491 | |
Not Available |
Full Name | Dr Bentley Cole Tate |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1100 Carson Ave, La Junta, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649229675 | NPI | - | NPPES |
1323815 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 32381 (Colorado) | Primary |
Entity Name | Morgan Emergency Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396721890 PECOS PAC ID: 4284620063 Enrollment ID: O20050222000697 |
Mailing Address | Practice Location Address |
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Dr Bentley Cole Tate, MD 200 Corporate Blvd, Suite 201, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Dr Bentley Cole Tate, MD 1100 Carson Ave, La Junta, CO 81050-2751 Ph: (303) 770-4491 |
Dr. William Lee Jurgens, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Carson Ave, La Junta, CO 81050 Phone: 719-384-5412 | |
Mary Jean Berg, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 Carson Ave, La Junta, CO 81050 Phone: 800-893-9698 | |
Dr. Paul T Yoder, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 531 Lewis Ave, La Junta, CO 81050 Phone: 719-384-8827 |